Keane Lily, Clarke Gerard, Cryan John F
APC Microbiome Ireland, University College Cork, Cork, Ireland.
Department of Anatomy & Neuroscience, University College Cork, Cork, Ireland.
Nat Rev Immunol. 2025 Jun 12. doi: 10.1038/s41577-025-01188-9.
Microglia, the resident immune cells of the brain, are now recognized as being active participants in the onset and progression of many neurological and neuropsychiatric disorders. As a result, substantial effort has been made in finding ways to target, deplete or modulate the aberrant phenotypes of the microglia that are present in these different disease states, albeit with varied levels of success. The gut microbiota has recently emerged as a master regulator of microglia throughout the lifespan; here, we propose that this microbiota-microglia cross-talk may have major implications for our understanding of neurological disorders and neuropsychiatric diseases. We focus on the latest advances in understanding gut-microglia communication in the context of microglial heterogeneity and microglia-related functions, as well as considering the evidence for effects of these pathways on diseases and disorders of the central nervous system. We also address the challenges, opportunities and clinical implications of this emerging area of research.
小胶质细胞是大脑中的常驻免疫细胞,如今被认为是许多神经和神经精神疾病发病及进展过程中的积极参与者。因此,人们付出了巨大努力来寻找靶向、清除或调节这些不同疾病状态下存在的小胶质细胞异常表型的方法,尽管取得的成功程度各不相同。肠道微生物群最近已成为整个生命周期中小胶质细胞的主要调节因子;在此,我们提出这种微生物群与小胶质细胞的相互作用可能对我们理解神经疾病和神经精神疾病具有重大意义。我们关注在小胶质细胞异质性和小胶质细胞相关功能背景下理解肠道与小胶质细胞通讯的最新进展,并考虑这些途径对中枢神经系统疾病和紊乱影响的证据。我们还探讨了这一新兴研究领域的挑战、机遇和临床意义。